대한핵의학회지 (1967년~2009년)
대한핵의학회지 1982;16(2)29~8
대동맥 및 승모판 판막폐쇄부전증에서 방사성 동위원소 심혈관촬영술을 이용한 혈역류량 측정에 관한 연구 ( Measurement of the left ventricular regurgitation by gated cardiac blood pool saca : Before and after valvular replacement surgery )
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Author 신성해(Seong Hae Shin),정준기(June Key Chung),이명철(Myung Chul Lee),조보연(Bo Youn Cho),서정돈(Jung Don Seo),이영우(Young Woo Lee),고창순(Chang Soon Koh),서경필(Kyung Phill Suh),이영균(Yung Kyoon Lee),
Affiliation
Abstract

Quantification of the regurgitation amount is important before and after valvular replacement sugery. Until now cardiac catheterization with cineventriculography, echocardiography have been used to measure the regurgitation amount, but also have many limitations EKG gated cardiac blood pool scan provides a simple, non-invasive method for quantify the regurgitation amount. By calculating the ratio of left ventricular to right ventricular stroke counts(stroke volume ratio) in gated bood pool scan, we measured the left ventricular regurgitation amount in 28 cases of valvular regurgitation and 25 cases of normal group. 1) Stroke volume ratio was higher in cases of valvular regurgitation(2.11±0.58) than in cases of normal control(l.15±0.31). (p〈0.01). 2) Stroke volume ratio was classified by regurgitation grade using X-ray cineventriculography. In grades of mild regurgitation(Grade I∼Ⅱ), stroke volume ratio was 2.02±0.29, and in grades of severe regurgitation(Grade Ⅲ∼Ⅳ), stroke volume ratio was 2.55±0.34, so stroke volume ratio was well correlated with the grade of X- ray cineventriculography. 3) Stroke volume ratio was classfied by functional class made in New York Heart Association. In classes of mild regurgitation (class I∼Ⅱ), stroke volume ratio was 2.08±0.26, and in classes of severe regurgitation (class Ⅲ∼Ⅳ), stroke volume ratio was 2.55±0.38, Stroke volume ratio well represented the functional class. 4) After aortic and mitral valve replacement in 28 patients, the stroke volume ratio decreased from 2.11±0.58 to 1.06±0.26. Gated blood pool scan provides a noninvasive method of qnantifying valvular regurgitation and assessing the result of surgical interventions.

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